Provider Demographics
NPI:1932204757
Name:GOLDBERG, ANN (OTR, CHT)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:GOLDBERG
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 EXPRESSWAY PLZ
Mailing Address - Street 2:SUITE 106
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-2047
Mailing Address - Country:US
Mailing Address - Phone:516-625-6600
Mailing Address - Fax:516-625-1819
Practice Address - Street 1:1 EXPRESSWAY PLZ
Practice Address - Street 2:SUITE 106
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2047
Practice Address - Country:US
Practice Address - Phone:516-625-6600
Practice Address - Fax:516-625-1819
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001270225X00000X, 225XH1200X, 332BC3200X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001270SOtherHEALTHCARE PARTNERS
NYQRW351OtherEMPIRE MEDICARE NUMBER
NY0029110OtherAETNA (ORTHONET )
NYANC1449OtherOXFORD
NY4C0378OtherHEALTHNET
NMQS7142OtherEMPIRE
NY6636543OtherCIGNA
NY11478170OtherCAQH
NY4465856OtherAETNA
NY001270 N02OtherHIP
NY0029110OtherHEALTHNET (ORTHONET )
NY29110OtherCIGNA ( ORTHONET )